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General NPI Number Information
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NPI Number | 1902358070
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Entity Type | Individual
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Provider Name | SHARON T DAVIS LCSW-C
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Gender | Female
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Dates
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Enumeration Date | 10/25/2016
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 10711 RED RUN BLVD STE 101
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City | OWINGS MILLS
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State | MD
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Zip | 21117-5138
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Country | US
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Telephone | 443-492-8557
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Fax | 410-510-1505
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Provider Business Mailing Address
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Address Line | 9906 SHOSHONE CT
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-1700
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Country | US
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Telephone | 443-492-8557
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19875
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License Number State | MD
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